Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.12 / $1,570.08 / $8,413.00	Facility		$991.12	$1,570.08	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.12 / $1,042.26 / $1,849.86	Professional		$991.12	$1,042.26	$1,849.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $2,073.76 / $2,730.32	Professional		$1,245.00	$2,073.76	$2,730.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,710.28	Facility		$606.10	$606.10	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.73 / $1,555.17 / $2,525.04	Professional		$1,120.73	$1,555.17	$2,525.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $991.12 / $1,471.95 / $2,239.92	Facility		$991.12	$1,471.95	$2,239.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $1,253.00 / $1,312.00	Professional		$579.00	$1,253.00	$1,312.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,583.19 / $2,431.00	Professional		$3.00	$1,583.19	$2,431.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $867.28 / $1,276.60 / $2,452.56	Professional		$867.28	$1,276.60	$2,452.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,802.92 / $8,957.00 / $26,542.00	Facility		$3,802.92	$8,957.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,477.25 / $7,477.25 / $8,750.03	Professional		$7,477.25	$7,477.25	$8,750.03